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Book TV After Words
December 10, 2012 12:00am-1:00am EST on CSPAN2

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Dr. Marty Makary Education. (2012) 'Unaccountable What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care.'

Broadcast Summary

00:00
sort western audience proud syracuse population find circumference massachusetts west general
00:30
bit little harte cultural sense east hi heritage friend dickinson henry old connection emily bret south whitman walt james
01:00
begin sense writers already institute beacon larger tradition part literary important whole amplify helps story becomes resources ground comes debate rich
01:30
fuel fire people challenged creativity imaginations ve rest high else given gives catch stuff feeds whole sounds system nothing writing becomes workshops something rewarding encounter
02:00
excellence
03:00
book tell write hospital patients evaluate led ask feel main blind giant number system choose gotten walking reasons decided answers drivers findings
03:30
hospitals declining got increasing frustrated healthcare competition rate book they like right fifth seems rates wrong level ve wrote better reason parking burnout economy 46 crushed doctors getting overhead practice expenses one patients medicare payments
04:00
medical mistakes talk shocking cincinnati interested kill okay felt host many point death field three cause third voice figure number states people needed public united general quality leading crushed put doctors getting somebody
04:30
death number really honestly accidents profession we lot car four heck five talk heart guess three cause never clear spend causes openly disease thought mistakes
05:00
medical starting something certainly tremendous institutions and host care heart money three start cancer number except really talking disease problem mistake mistakes received honestly
05:30
talk field right quality student guest recognized kind interested doctoral harvard trained concept started place disparity time got program
06:00
something especially experience done understated essentially frustrating seem book risk bank name right thing talked cancer follow ll really spread wanted bullied clearly happens mrs patient opening doctors assigned research benefits mine anything overstated procedures
06:30
went seemed school medicine profession original ol met wasn quit long host trade bates david truth enough health public mission decided started telling frankly medical heritage
07:00
school health public basically procedure explaining mrs yeah sign down done tore quit sort part needs guest banks fresh wanted matter upside culture morning outside started wantses medical implied graduate observed explained
07:30
describes basically harm resulting describing interested organizations head hand focus heard tract bates david study saying people states united concept radical doctors calling big quality writing looking largest patient medical put problem studies mistakes
08:00
got cracks knowledge sometimes explosions coordinated end ask step care many mean level people global course hurting overall harmful services medicine diseases treating realized
08:30
medicine 30 saying everything procedures medications may find long door step care tests order people really health closed public report called general culture problem something prescribe necessary institute
09:00
issue public different disconnect vocabulary overtreatment sis help feel told nose trust bleed whole school stacks connect created medical arrogant strained remember industry
09:30
medicine great tremendous phenomenal technology compassion 30 art job miss mark care thin trust folks every study saying health results science advances byproduct profession constitute discipline
10:00
care culture statistic streamline variability uncombattable 30 ago host write waste types cancer little health cracks allowed decided quality problems stunning mistakes mentioned activities
10:30
30 care waste health industry tolerate rate occur guest great error talked people within wonder income really wouldn length average medicine unacceptable
11:00
gone costs increased increases healthcare essentially 68 30 pay care last every talked metric period states decade wonder united health income offset paying leaders increase business tolerate contract american
11:30
money practices individual transplant deductible standardized art got best risk auto plan care high keep field never thing health culture perform excepts getting throwing autonomy patients medicine pancreas premiums respected
12:00
cells treat patient pancreas laboratory profitable 20 hop 000 need paid room kins right johns bonus asleep became payment somebody business medicare operation hospitals contracts operating anesthesia
12:30
another city talking operation hospitals laboratory cut jet pan put done tiny open send state treat flown second anyone across career taking cooler patient started country options facility procedure
13:00
people rates patient hospitals satisfaction complication got news aren lure care right doors basic smart world things bad system health scores report results working ten metrics country volumes outcomes financial incentives top performance readmission accountable
13:30
free care people market literature discussions seek best host uses many years based field valid waste issue reduce number health choose public choice leaders patient amongst performs advocate certainly available endorsing
14:00
patients gravitate individual information performance institutions put born seek able book data care rates abuse miles indeed happen school mother another quality thought hospital reference naturally infection physician
14:30
seek tell patients totallal difference information got doc care talk blind trust guest house indeed really doctor system factor quality balance whatever informed whenever
15:00
book something medication healthcare put preventive increasingly four done need told avoid weeks means never stick waste stuff seeing people reduce critic really public wholeis therapy options invasive physical informed patients minimally
15:30
showed public extents reporting report procedures heart talk association medical ograms came journal angie week reduces american waste study
16:00
impact practicing dangerous conference incentives increasingly bad too hand many went mean every asked single doctor public apples respond shouldn doctors national learning patients audience financial recognize reporting
16:30
doctor hospital advocate procedures down unnecessary accountability book care away heart seven drive thumb there least never given miles street little health stints 500 wouldn gotten stents general blocked patient put putting arteries recorded
17:00
speed follow trying education everybody intersection sees rate care room side road since traps limit works people camera health cameras decades follows element lot officer horrific increase somebody compliant oversight law everything compliance automobiles
17:30
hand really hesitant everybody physician accountability let next book kind host room fact trust again raise raised anyone public broken looked senior restore general culture reading account describe question rivetted
18:00
point afraid actually occurring criticize institution yet led may harm book talk sense speak peers times number people gotten culture opening chapter medicine
18:30
seek care hospital culture information proliferate er ask find best told fact guest nurse works people nurses health public friend talking quality doctors
19:00
knows culture probably everything institution car administrators ever else care sales sense nurse phrase washed anyone owning worker drives reason rental matter quality creating hospital services delivery industry products frontline economics providing
19:30
course 46 people burned importance christianic ago feel fall mayo care three weeks study seeing states happen health united cracks quality bothers doctors mistakes critical variable industry providers frontline according statistics
20:00
care feel health conferences institution increasingly guy docs tell right often chasm speak safer great saying states anyone united better listens service divides doctors empowered facilities
20:30
administrative providers empowered crackdowns variability administrators bit feel book host care talk shots seeing little policy making senior leaders working getting calling unitmark together
21:00
outer space astronaut offices asked cloistered lines policymakers talk companies east administrators middle quality safety doctors thing insurance value impact guest
21:30
tell made beds lines profit health fill care at got same people system public working parents doctors surgeons patients sometimes procedure artificial administrators
22:00
job ken doctor remember practicing administrator dad don sit walk wasn need prop jobs docs named seems wrong office people better hallway everyone ackerman designed
22:30
touch frontline corporation multinational administrator administrators bad coat lose staff folks white start kinds large things happen lehman service doctors ackerman brothers nickname industries provideres delivering
23:00
providers hospitals frontline operating transparency accountability ed book host room many fact talk nurses issues struck impetus perhaps writing becomes problem describe
23:30
anything extremes emergency incentives differentiation administrations seen book room talk guest built talked divide states united become learned earlier doctors innocent recently separate
24:00
hospital happens emergency sometimes associated administrators put isn slip yeah lake free paid room heart right admit saying states united attack across imagine another doctors standing rational patients attached
24:30
care infections transparency specifically disassociated administrators need gets pate york data room talk visit times model thinks private harmony realize industry providers emergency infection dangerous individual management
25:00
nurses everything experiment high complication complications administrators rate need mark unit tell heart story level except asking around common mission surgery aligned doctors ask chapman decrease reducing actually reported outcomes walk publicly described mortality
25:30
concepts republican democratic performance transparency accountability old icu ceo seen data story nurse never heart saying people system public levels except concept hearing surgery cardiac realize outcomes remember american fashioned reporting
26:00
expect almost reduce health misreport transparency care yet got ceo wall jail house value start oxley white waste treat level costs street island company business earnings sarbanes congress treating american infections differently
26:30
care exception americans pay practicing essentially catastrophic cell call right house phone calls night seeing people system health couple paying tiered primary dreamed crushed doctors getting dollars thousand everyday medicine becoming practice
27:00
story getting leadership companies regulatory bureaucratic let role tell host care bill talk right plays loved brady system health always dreamed hassles crushed doctors medicine fighting patients involves insurance rejecting revolting
27:30
bill guest brody everybody president find communication role tell sort host care hour many talk johns story wants means times thing nurses viewer health walked senior leaders talking started icu hopkins example breakdown
28:00
unit executives initiative university anticipate catastrophe win icu harm area next part ward room many meet staff wrong adopt clinic happen safety medical adopted patient hopkins concerns operating
28:30
every feel people valued hospital anticipation got sort staff fight safer costs saying nurses allows system burned listen create medical crushed doctors getting country mishaps redesign premiums insurance employees 26 reengineer discussions malpractice
29:00
leaders feeling insurance companies responsible accountability long role goes safe host ceos value cetera people safety valued culture serious hospital creating alienate hospitals
29:30
people transparency corporation individuals establishment administrators old play moms care talk guard guest seems daily parents resists conduct improve doctors hospital business patients perception
30:00
seeing driven surgeons organizations transparency administrators best care heck waste smart value people things health society bothers pushing doctors thoracic patients something revolution ironically understand
30:30
public patient transparent together gottinggot organizations ran got cat scan done soon hide ande once right rally thing sorry wrong proud learn anyway honest ordered bedside results nothing perform leapfrog
31:00
cat scan sorry mistake patients lot appreciation got get feel done away sure else wont right share sense thank times angry intend honest doctor looked honesty results someone thought parents patient treated
31:30
care health outcomes patients databases organizations pap need field plant study saying people number follow report career hungry looked extras leaders provide patient dignity treated national hospital research recently business performance
32:00
public outcomes different available registries information 200 ask hops form data right three track study found follow access funded society dollars national taxpayer hospital research registry starting questions
32:30
hospitals compelling interested bestseller provocative illustrative yes the book host york care list step terms truly times cetera seeing raised issues things health really leaders quality
33:00
talk people physicians comments thousands recognizing old used term many guard heave guest peers older really impact gotten perhaps younger getting feeling feedback
33:30
mistake feel story personal everybody thousands of got mom tens hand part died many mails close given thank people really almost letters process written sharing medical options accounts
34:00
medical seems mistakes appreciation transparency story disgeneration death three cause truth almost number insist states aspect little united openly doctors general talking telling younger nowdays suffered somebody students honestly life everybody tolerance particular
34:30
shouldn medical mistakes response individual unnecessary 30 old book typo care guard refer cover living expert health public trying inside jacket general talking aspects
35:00
typo care health response emotional politicians miss talk ideas death three cause bites sound aisle sides issue number course trying common stakes subject divided reality complex country medical remember need different responses polarized
35:30
system broken patient care health transparency pay fix gets base hear fund talk sense ideas really choice centered outcomes solutions different financing discussion politicians differently fundamental
36:00
care health information politicians permanently empowerment 60 fix why walk rate aren blind while lived track before record yorkers looking ratings doctors section patients hospital insurance infection companies restaurant
36:30
many things hospital operations bounceback transparency ve 50 hip rate seen lyme raid host five knee care case leads basic cases years health public demand treats provide disease industry
37:00
fred care flintstone described diligence restaurant 60 et ll use due walk seem book kind term talk right plays cetera street really online around review yorkers without thoughts hospital
37:30
doctor got paid based patient constantly lot walk away play money guest office option losing change gasted culture another quality mention flabber worried superior medicine outcomes patients quantity sometimes
38:00
doctors heavily malpractice incentivized incentivizing overtreatment lot heavy vices broad asked people system answer volume survey things finance answers epidemic oriented concerns innocent overtreat healthcare
38:30
patients superiors operations profession eliminating overtreatment text need best feel type week went mails right heavy start every thing talked almost address doctors getting medical problem options thinking medicine messages mistakes
39:00
breast underrefer literature incentives variations reconstruct met show told care wide local infear another plastic clearly removal resident rotating superior surgeons standard patients research
39:30
removed pancreas tail small office doctor ll pan big key walk hole cyst sleep walks needs field indigs career remove another surgery patient invasive hospital incision minimally
40:00
removing ways better invasive minimally different ten old walk open door colon sense based shows years organ study things common either england talking journal doctors totally vaccine medicine incision radically organizations
40:30
west town wild talk medicine accountability yet bit done need ever used term host half great people little concept sheriff holding invasive sheriffs patients minimally candidates responsible
41:00
art form medicine patients accountability standardization try move area told play kind hear field cases things tumors complex forward balances pancreas expertise frequently complicated
41:30
high risk right opposition transparent appropriately yes 100 done lead fact cases risks agree nature minute matter adjust doctors nothing outcomes hospitals
42:00
doctors endorsed incentives transparent discriminate transparency raw got high ways risk data valid noble cases saying simply create punish groups reward measure quality monitor reverse created national actually measures registry
42:30
care health available understand performance transparency app ways easy risk heart right groups center public future surgery doctors reports adjusted national outcomes registry exciting patients consumer community partnering
43:00
leader revolution recorder something passionate transparency art ago sort host care talk truce decade health report become subject perhaps believe observer exciting medicine
43:30
physicians efficiency information transparency partnerships misinterpreted yet case cite terms impact safety levels groups toward falling overall doctors thought mistakes movement consumer evolution protected
44:00
patients consumer site statistics challenging information transparency thor point moved sense guest score local cases haven great small really knowny things safety burned run unless gotten future either systems central org reports hospital leapfrog
44:30
ceos many really surgery doctors complications lot sort game heart focus there times thing saying reduce system master public common certain program learned mission created guiding happened dedicated loopholes saw successes informing dashboard
45:00
doctors specializes complication saw transparency anesthesiology anesthesiologist ask rate wasn need heart track early using saying nurses course system better define groups seeing perfect outcomes hospital surgeons teamwork versions yes infection tremendous independent
45:30
push forward information opportunity complication organizations pop lot got act bias need late care sites rates tried lined nature believe uniform doctors exciting understate affordable discussing performance
46:00
valid people hospital infection readmission readmissions able home ways ever raid site back rally rates bounce master public around compare measure perfect quality doctors consider national medicare hospitals consumers generally available
46:30
need care health field relatively tremendous re fix idea risk host talk right young years ideas valid route stuff fresh refine better safety revise talking quality perfect frankly adjusted patients consumers
47:00
patients treatment thousands different regulators politicians bit need role talk fact sites today google little struck certain perhaps doctors disease actively internet hundreds involved reference something
47:30
role great patients referenced navigating ask difficulty help move high play data keep guest sites thing exists active system within couple change hearing quality forward reports navigate hospital question web probably consumer consumers
48:00
doctor scores information infection substitutes conversation 92 web done sites nurse every great google office health safety patient looking nothing accurate hospital research compares populated something
48:30
people doctor something operation medication conversation 92 hop hit kips type tell life major often johns bring right start wrong every office taking looking research condition
49:00
second opinion different necessary substitute presentation 30 run show seen area human stats times figure beings expert things partner country opinions somebody remember expertise somewhere variation
49:30
doctors throughout frustrated healthcare appreciation conversations boat book tell good host treat every taught follow father system broken mother certain patient medical guiding students patients principle
50:00
many teamwork referenced importance identified healthcare move need care talk fact talks parts people issues reform health struck moving tackle forward players starting
50:30
role physicians importance regulators responsible accountability try move care issues little within groups forward patient overall deliver resolve teamwork insurers patients questions different
51:00
yet part quality teamwork delivering unreliable high asks safe line care looks seems shows never hurts shoddy almost really entire survey factory process longest everyday critical assembly measured measures providers recognize everybody
51:30
feel available government comfortable information accountability yet web lot real free site part team heard north turns makes issues public around survey results tracked followed download collects concerns speaking hospitals
52:00
low better nurses turnover differently institutions rate miss near feel docs care talk often rates nurse hired times thing place happy simple teamwork quitting everybody
52:30
spoke nurse wrong patient described procedure icu deal site busy book sort room team side crazy saved guest quick almost harmed prepped mistake operated remember shuttling emergency operating
53:00
nurses patient procedure disruptive catastrophic consequences 40 90 less team side sport minor wrong study things report hearing surgery prepped doctors realize teamwork archives behavior
53:30
lot importance teamwork hospitals witnessed disruptive ton sack host peer last many talk years given three brian heard issues struck others starts months leaders culture improve examples behavior respected
54:00
perhaps aviation operating physician procedure especially ago away book took room team went needs areas plane order equate happen really things flying common become culture decades members surgeon describe speaking happened
54:30
hierarchy military unwritten sometimes procedures perspective met need ways sane guest start hough rules traits really things moving change faster starts changed forward similar enhanced teamwork cultural
55:00
room operating developed hospitals standards healthcare icu goal open head lift care talk check peter sheet above never daily honest health worked setting clinics superior problems redesign anything
55:30
led group world anticipated introduction organization big much list item team names roles chick irthan simple number health became making members priority committee presented experience popularized
56:00
something statement let conference particular organization introductions wasn goal role nice part room name face item team speak value place people simple number health around actual making meeting sitting saw empower critical friendly
56:30
speak patient members team family activated add try host guest every almost member easier reason amount amazing present activate anything something beginning absolutely information understanding
57:00
doctor condition innovation successful healthcare tremendously of fix let open note care join face visit notes large solve family member health allows called program patient patients instantly
57:30
part represents medicine enthusiasm professional disproportionate hey add down cost open plan line agree wrote saying divide crisis doctor bottom honest amount tonight sharing patient mistake bridging misspoke
58:00
pain type patient suspicion unrelated ice represents end ben told sort part kind cream jerry chart turns asked wrote seeing little asking caused record certain another bizarre worried psychoor question something abdominal
58:30
saw role leaders disappoint department clubbiccans note bond host last left crazy trust guest talked almost couple boards getting minutes movement involved restored something questions christian instantly
59:00
hospital board physician lot rule disappointment hhs ones last sense least great change minute boards mission subject focused doctors attempt outcomes intended patients hospitals broaderrer overturned
59:30
boards looking hospitals dashboard tremendous performance lot bad wrap book pure host line left press great impact bottom minute gotten culture service becomes metrics business

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